BVHS Weekend Column: Hemorrhoids

Rarely do hemorrhoids require surgery…..

Hemorrhoids
by Douglas Yoder, MD; Surgical Associates of Northwest Ohio

Dr. Douglas Yoder

Health care providers frequently see patients who have noticed they have passed blood into the toilet. It can be surprising and distressing, but many people are not concerned and blame the bleeding on hemorrhoids. Hemorrhoids are clusters of veins that are normal and present in the lowest part of the intestinal tract where stool exits the body. They function to serve as a shock absorber so that bowel movements can leave the body easily.

Occasionally, they enlarge and bleed. Situations where this happen are when people frequently strain due to constipation or heavy lifting. Pregnancy also causes hemorrhoids to enlarge, and for many women, may be the time in their lives when hemorrhoids begin. Frequently, swollen hemorrhoids can be felt when cleaning after a bowel movement. In many situations, there may not be a cause that can be identified.

If there is swelling but not pain or bleeding after a bowel movement, no treatment may be needed. Increasing the fluids and/or raw fruits and vegetables in your diet can often improve the quality of your bowel movement and allow for the swelling or pain to improve. Swelling and pain can occur from time to time, but if symptoms persist, they are signs that you should speak with your physician.  

If you notice bleeding in a bowel movement, on the toilet tissue or in the toilet bowl, this may be more significant. It may be a hemorrhoid but can also be a sign of something far more important. People may pass a large amount of blood or even clots, and this can be sudden and surprising. This can be associated with abdominal cramping. If this occurs, especially if is associated with dizziness, it is important to see your physician right away or go to the emergency room.  

A small amount of blood occasionally is not an emergency, but it is still important. If the bleeding persists, it is important to speak with your physician. An examination of the area may simply reveal hemorrhoids, fissures (cuts in the lining of the anus) or a fistula (abnormal channel connected to the anus). Treatment for these conditions can be provided by your physician and involves increasing fluid and fiber intake, possibly utilizing stool softener or hemorrhoid cream, minimizing straining, and warm bath tub soaks. Rarely do hemorrhoids require surgery.  

If bleeding continues despite easy treatment, further evaluation is needed. Inflammation of the intestines and polyps or tumors of the intestines are important, potentially life-threatening problems that can be identified with additional testing, such as a colonoscopy. While some of these conditions occur in older patients, even teenagers can show signs of bleeding as a result of inflammation.

Fortunately, life-threatening problems are not commonly a cause for rectal bleeding, but it is important to tell you physician if it occurs. Your physician can perform a quick and easy examination to determine the cause of the bleeding. If the cause appears to be hemorrhoids, treatment can be started. If hemorrhoids are not the problem, your physician can refer you to a specialist who can help identify the cause of bleeding. Not all rectal bleeding results from hemorrhoids, but most of the time it does. If not, it is important to figure why you are bleeding. It could save your life!

BVHS Service of Remembrance to be Held

The service allows families to remember and express gratitude for the lives of the people they have loved….

BVHS Service of Remembrance to be held at First Presbyterian Church of Findlay

The eighteenth annual Blanchard Valley Health System (BVHS) Service of Remembrance will be held on Sunday, April 28 starting at 2 p.m. at First Presbyterian Church of Findlay, located at 2230 South Main Street in Findlay, Ohio. This interfaith memorial service will honor BVHS patients and residents who passed away in 2018. All are welcome to attend the service, which will be followed by a reception.

“The community is welcome each year to join us as we remember the individuals we have been honored to serve throughout Blanchard Valley Health System,” said Chris Schilling, chaplain at Blanchard Valley Hospital. “We have had the privilege of taking part in the lives of these patients, residents, associates and friends of BVHS during very sacred times. Service of Remembrance is an opportunity for us to honor their lives and our relationships with them.”

This is the eighteenth year that the service has commemorated the lives of patients and residents cared for throughout Blanchard Valley Health System, including Bridge Home Health & Hospice, Birchaven Retirement Village, Blanchard Valley Hospital, Bluffton Hospital and Independence House.

The service allows families, friends and community members to remember and express gratitude for the lives of the people they have loved. It is also an opportunity for BVHS associates, administrators and providers to remember the patients and families for whom they have had the privilege to meet and provide care.

For questions or more information, contact Schilling at cschilling@bvhealthsystem.org.

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Call 911 for Chest Pain/Stroke Symptoms

Blanchard Valley Health System Weekend Column……

C

by Cody Price, RN, Chest Pain/Stroke Program Coordinator, Blanchard Valley Health System


Cody Price, RN, Chest Pain/Stroke Program Coordinator

You or a loved one may have experienced pain or discomfort in your chest, possibly radiating into the jaw, arm or shoulder. These symptoms as well as shortness of breath, lightheadedness, nausea or vomiting are all common warning signs that an individual may be having a heart attack.

Or, perhaps you or your loved one have experienced symptoms of stroke including:

  • Face drooping or numbness on one side.
  • Arm weakness or numbness on one side.
  • Speech that is slurred or difficulty speaking.

If so, these are all common warning signs that an individual may be having a stroke and it is

  • Time to call 911.

While many people may have experienced these symptoms of heart attack or stroke, they do not always call 911. According to the American Heart Association, in 2016 cardiovascular disease was listed as the underlying cause of death in approximately one out of every three deaths in the United States. The top two cardiovascular diseases making up that statistic are coronary heart disease and stroke.

Despite numerous efforts to inform the public, these two diseases continue to lead to high mortality rates and poor outcomes for patients. What can you do to try to reduce these poor outcomes, improve the chance of recovery and receive emergency care as fast as possible? Call 911!

Calling 911 and activating the emergency medical services team is the quickest way to receive potentially life-saving treatment. You should call if you or someone around you experiences any of the above symptoms.

There are many reasons why individuals are hesitant to call 911, some of which include waiting to see if the symptoms dissipate, attempting to drive themselves to the emergency room because they believe it will save time, or not wanting to bother anyone by voicing their symptoms. Additionally, many individuals may not want to ride in an ambulance for fear of treatment, cost or “wasting time.” The list continues.

Calling 911 is the most important action to take if the above symptoms of heart attack and/or stroke are present. When emergency medical personnel arrive to the scene of a call, many tasks occur “behind the scenes” to help the patient receive the highest quality care in as little time as possible. First responders assess the patient and determine the cause of symptoms, whether it is attributed to heart attack, stroke or other medical emergency. Once this assessment is complete, first responders can begin to provide any immediate medical care necessary, safely and quickly transport the patient to the hospital, and call ahead to the emergency department to inform providers that a patient is on the way with a description of symptoms.

This also results in quicker treatment when you arrive at the hospital because different emergency alerts can be activated prior to your arrival. For example, if you are having chest pain, an electrocardiogram of your heart will be obtained immediately. If you are having stroke symptoms, a CT scan of your head will be completed immediately.

While many people still arrive at the emergency department by driving themselves, give yourself, your loved ones and even strangers the best chance at a positive outcome by activating emergency medical services. When in doubt, do not ignore your symptoms. Call 911 and receive an evaluation by a medical professional!

‘Grief and Tough Topics’ Presentation

Part of the ‘Living Through Loss’ Series at Blanchard Valley Hospital…

The April presentation of the “Living through Loss” series will be held on Monday, April 15 from 7 to 8:30 p.m. and titled “Grief and Tough Topics.” This presentation will take place in the Marathon Auditorium at Blanchard Valley Hospital located at 1900 South Main Street in Findlay.

“Grief and Tough Topics” will offer discussion on difficult questions and how to answer them, how to deal with difficult family members and much more. Some topics may truly be tough to discuss, but attendees will learn how to approach them, respond in a healthy way and continue forward.

Kristi Beall, bereavement coordinator at Bridge Home Health & Hospice, will broach the tough topics related to grief and offer ways to make the journey more tolerable. The evening will include opportunities for all views, thoughts and opinions to be heard and a chance for others to learn from those who have personally walked the journey through grief.

“Living Through Loss” is a nine-month educational series that focuses on the issues surrounding the death of a loved one. Each monthly presentation is open to the public and registration is not required. Presentations provide information related to the grief process, offer opportunities for discussion and are held from 7 to 8:30 p.m. in the Marathon Auditorium at Blanchard Valley Hospital. Although the thought of speaking up in a group can be intimidating, many attendees find the discussion helpful as they discover their questions and concerns are similar to others. A bereavement expert is available to speak with attendees in private following the presentation.

This series is sponsored by Bridge Home Health & Hospice. For questions, to learn upcoming dates or to have a full program brochure sent to you, please contact the Bridge bereavement coordinator at 419.423.5351 or email bridge@bvhealthsystem.org.

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Bridge Bereavement Services is a division of Blanchard Valley Health System, which provides a total continuum of care to more than 100,000 households in an eight-county area.

BVMP Welcomes Dr. Maria Slack

Dr. Maria Slack Joins ENT & Allergy Specialists of Northwest Ohio …

Dr. Maria Slack Joins ENT & Allergy Specialists of Northwest Ohio

Blanchard Valley Medical Practices, a division of Blanchard Valley Health System, recently welcomed Maria Slack, MD to ENT & Allergy Specialists of Northwest Ohio. The office is located at 1110 West Main Cross Street, Findlay, and Dr. Slack is welcoming new patients. She specializes in treating allergies in both pediatric and adult patients and has completed extensive research in allergy and immunology.

Dr. Slack received her medical degree from the University of Oklahoma College of Medicine (Oklahoma City and Tulsa, OK). She completed her residency, allergy and immunology fellowship and Master of Medical Science in allergy and immunology at The Ohio State University Wexner Medical Center (Columbus, OH).

Dr. Maria Slack

Dr. Slack is joining fellow allergist Amber Patterson, MD and the team at ENT & Allergy Specialists of Northwest Ohio. Other services provided at this practice include general ENT services, head and neck surgery, hearing issues, balance disorders and facial plastic surgery.

For more information or to schedule an appointment, call 419.423.5492.

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Blanchard Valley Health System provides a total continuum of care to more than 100,000 households in an eight-county area.

BVHS Weekend Column: Allergies in Pollen Season

When it comes to treating allergies, one size does not fit all…..

Allergies in Pollen Season, Maria Slack, MD, ENT & Allergy Specialists of Northwest Ohio

Dr. Maria Slack

For those with pollen allergies, sneezing, itching, cough, stuffy nose and sleepless nights often come with the onset of spring. In Ohio, the allergy pollen season starts in the very early spring and lasts most of the year until the first frost, which is a long time for those suffering from seasonal allergies. Fortunately, there are many options available to help allergy sufferers. The adjustments a person can make range from changes in the environment to improving the way your body recognizes or tolerates allergens through allergy immunotherapy (traditionally known as “allergy shots”) or sublingual immunotherapy (oral allergy tablets).

To reduce exposure, try taking the following steps:

  1. Limit outdoor activity between 5 and 10 a.m., which is when pollen levels are highest.
  2. Keep windows closed at night and use air conditioning when needed.
  3. Keep an eye on air quality levels and limit time outdoors during poor air quality days.
  4. Check the pollen count to know what pollen is outside.
  5. Take a shower and change clothes when you come home after being outdoors.

Although these changes may help, they may not make enough impact on exposure to relieve symptoms.

For those who suspect that they may have allergies to pollen or other allergens in the environment, allergy testing is the most accurate way to discover sensitivities and contributions to your symptoms. With modern medicine and techniques, allergy testing can be completed safely by a scratch (also known as a “prick”) of the skin with a liquid allergy extract or a blood test. Based on this information, an allergist can help you determine what treatment would be a good fit for you.

There are many over-the-counter and prescription allergy medications available that individuals may use if recommended by their physician. These medicines can help reduce a person’s symptoms and provide some relief during the allergy season. Allergists may even recommend allergy or sublingual immunotherapy. These treatments are administered over time and help the body tolerate allergens in the environment. Individuals often experience a reduced need for medications, improved symptoms and an overall better quality of life that lasts for the remainder of life after receiving these treatments.

When it comes to treating allergies, one size does not fit all. Involving your health care provider and/or allergist in your care will help get you on the right track to finding the treatment that works best for you.

Bridge Home Health & Hospice Presentation on Advance Directives

National Healthcare Decisions Day event on April 18…..

Social workers and care navigators from Blanchard Valley Health System (BVHS) will offer a brief presentation regarding advance care planning and advance directive forms at a National Healthcare Decisions Day event on April 18 from 9 to 11 a.m. This event will take place at 50 North, located at 339 East Melrose Avenue, Findlay. The presentation will also provide individuals with assistance in the completion of advance directives.

In an effort to highlight the importance of advance health care decision-making, BVHS and 50 North, along with other organizations across the nation, will provide information and tools for the public to discuss their wishes with family, friends and health care providers. Additionally, individuals will learn to execute written advance directives (health care power of attorney and living will) in accordance with Ohio state laws.

“With this event, more people in our community will be equipped to have thoughtful conversations about their health care decisions and complete reliable advance directives to make their wishes known,” said Niki Sidle, LISW-S at Bridge Home Health & Hospice, a division of BVHS. “Fewer families and providers will have to struggle with making difficult health care decisions in the absence of guidance from the patient. Providers and facilities will be better prepared to address advance health care planning issues before a crisis and better honor patient wishes when the time comes.”

For more information, call Bridge Home Health & Hospice at 419.423.5351.

BVHS Weekend Column: Spring Allergy Time

If you or your child suffers from spring allergy symptoms, you may want to consider prevention tactics.

Allergy Immunotherapy, by Amber Patterson, MD
ENT & Allergy Specialists of Northwest Ohio

Dr. Amber Patterson

If you or your child suffers from spring allergy symptoms, you may want to consider prevention tactics. Allergen avoidance and allergy medications are the first steps in managing allergies. If these are not completely providing symptom relief, or you prefer minimizing long-term medication use, consider allergy immunotherapy (IT).

This treatment, commonly referred to as “allergy shots,” involves receiving personalized injections of specific allergens over the course of three to five years. These injections are traditionally given under skin. The goal of allergy IT is to change the immune system so that the body tolerates the allergens and no longer interprets them as “foreign invaders.” Treatment schedules vary, but in general, injections are initially given one to two times per week, then spaced out to every four weeks for the remainder of the treatment course. The first injections are considered the “build-up” phase. During build-up, injection doses are very low and progressively increase with each visit until reaching a top dose. This top dose is known as a “maintenance” dose, the term used for the patient’s optimal treatment dose, which he or she will continue to receive with each future injection.

Most people begin noticing benefits within a year of the first injection, including decreased symptoms and needing fewer medications. Allergy IT can also prevent new allergies from forming and allergic rhinitis (nose symptoms from allergies) from progressing to asthma.

While most people tolerate the injections well, common risks of allergy IT include local reactions at the injection sites such as pain, swelling or bleeding. In rare cases, some individuals may experience severe allergic reactions such as swelling or difficult breathing. When these severe reactions do occur, it is typically within 30 minutes of receiving the injection and, if left untreated, could progress to a more life-threatening condition called anaphylaxis.

Because of risks associated with allergens injected under the skin, allergy shots should be administered in a medical setting with proper equipment to treat reactions. Patients should wait in the physician’s office 30 minutes after each injection to ensure accessibility to medical treatment if necessary.

Allergy sublingual immunotherapy (SLIT) tablets are a more recent FDA-approved method for administering allergy shots. SLIT tablets are available for individual treatment of grass, ragweed and dust mite. Allergy IT can be used for treating symptoms caused by environmental allergies such as pollen, pet hair/dander, dust mites and more. Additionally, this treatment can alleviate symptoms caused by allergic asthma, eczema or venom from flying insects or fire ants. Speak with your physician to help decide if allergy IT is right for you or your child.

BVHS Weekend Column: Stop the Bleed

Proper training, equipment and willingness to help control bleeding can save a life.

Stop the Bleed, Douglas Yoder, MD, Surgical Associates of Northwest Ohio

Dr. Douglas Yoder

Bleeding has been identified as one of the three leading causes of preventable trauma deaths before reaching the hospital, responsible for up to 40 percent of all deaths from trauma. Bleeding quickly catches our attention.

At home, work or play, bleeding is a sign of something that is not right and could potentially be serious or even life-threatening. For instance, accidental cuts from kitchen knives, table saw injuries or chainsaw lacerations happen frequently. For hunters, accidental gunshot wounds can be lethal unless aid is provided early. Locally, large lacerations can even result from a high school sporting event. Accidental amputations from the workplace have also been treated.

Furthermore, tragic school shootings have increased the importance of controlling bleeding prior to receiving medical attention from paramedics or in a hospital.

The American College of Surgeons has established a program to address this issue called “Stop the Bleed.”

This training is intended for everyone. For instance, teachers and school administrators are important first responders in the event of a school shooting. Students can also be effectively trained. At the workplace, co-workers are valuable. Parents, grandparents, neighbors and friends can all learn how to stop potentially life-threatening bleeding.

To stop a bleed, you must act quickly! First, call 911 and get help. Next, it is important to hold direct pressure on the bleeding site. One or two gloved fingertips placed directly on the spot that is bleeding and holding firm pressure can effectively stop even significant bleeding. You can use a clean cloth, rag or even a piece of clothing to place directly on the wound prior to holding pressure. However, applying pressure with the entire hand or palm is much less effective no matter how hard you press and should be avoided.

Wrapping a bleeding site with gauze or a towel will not stop significant bleeding and should also be avoided. Ideally, sterile gauze is used but not always available. Do not be surprised if placing firm pressure on the bleeding site causes significant discomfort. Try to soothe and reassure the injured individual.  

Tourniquets can be life-saving when bleeding occurs in the arms or legs. These are devices that encircle the bleeding arm or leg above the bleeding site and cuts off the blood supply to the limb when twisted. Proper placement and usage will stop bleeding. This is a quick but temporary solution to the problem, and rapid transfer to medical care is essential. Make a note of the time that the tourniquet was placed. Since this is important information for medical professionals to know, it may be helpful to write this time directly onto the limb that was bleeding. Unfortunately, similar to applying pressure, a properly placed tourniquet will be painful for the injured individual. It is important to comfort and reassure the patient and get him/her to professional medical care.

With the exception of a tourniquet, many of us have the needed equipment at home to stop bleeding. If you own a first aid kit, it is a good idea to every so often make sure it is adequately supplied. Gloves and gauze are the most important items. Additionally, tourniquets can be purchased from online. Entire kits that include all necessary equipment are available online but can be expensive. These may not be needed for the home, but well-stocked bleeding control kits should be well-positioned in classrooms and workplaces in addition to CPR-related equipment, such as an automated external defibrillator (AED).

While we hope that we are never in this situation, we never know when or if an injury will occur that could cause life-threatening bleeding. If it does, proper training, equipment and willingness to help control bleeding can save a life.

BVHS Weekend Column: Online Hearing Tests are Limited

There are many physical conditions that can impact your hearing status, and it is possible your hearing problems can make other medical conditions worse….

Limitations of Online Hearing Tests, by Kristina Trout, Au.D
ENT & Allergy Specialists of Northwest Ohio

Kristina Trout

While completing a hearing test in the convenience of your own home may be an attractive alternative to making an appointment with an audiologist, online hearing tests are unlikely to accurately or reliably identify the extent of your hearing problems.

But what exactly are the benefits to visiting an audiologist versus attempting a hearing test at home? During your visit, the audiologist will ask you questions about your current and past medical and physical history.

There are many physical conditions that can impact your hearing status, and it is possible your hearing problems can make other medical conditions worse. Additionally, if you are experiencing ear noise (tinnitus), balance problems such as dizziness or vertigo, exposure to hazardous, loud sounds recreationally or through your work, or any other hearing- or balance-related issues, the audiologist will address these with you in the face-to-face examination.

As part of the overall hearing evaluation, the audiologist must also assess your ears to determine if obstructions like occluding ear wax, drainage or bleeding are present in the ear canal. This important part of the examination is not possible in a self-administered examination in your own home.

Additionally, there are guidelines of an acceptable level of ambient room noise allowed for an accurate hearing test. It is rarely possible to meet these standards without a uniquely constructed, sound-treated room. It is imperative to control for background noise when evaluating an individual’s hearing thresholds, as background noises at home may produce noise that artificially elevate hearing levels when completing an online hearing test.

Furthermore, there are strict audiology standards for headphone or earphone calibration that do not exist for home computer systems. As a result, an individual’s test results on the same home computer using different types of headsets/earphones often vary. Hearing tests completed online using earphones measure only a single aspect of the hearing system
through sound that enters the ear canal, otherwise known as “air conduction” testing.

This type of testing evaluates a patient’s hearing sensitivity for different pitches. The results from air conduction
testing will outline the amount of hearing loss you are experiencing as well as whether your hearing capabilities meet the “norm.”

In the presence of a hearing loss, these tests cannot determine ‘where’
along the auditory system the hearing loss exists. That is, there can be a problem in the ear canal, ear drum or inner ear (the sensory organ for hearing), or with the auditory nerve. Therefore, air conduction testing is only part of a comprehensive hearing evaluation. At minimum, an additional test of hearing sensitivity using “bone conduction” testing is needed to determine “where” the hearing loss is located. Specialized equipment is necessary to evaluate hearing through this type of testing, which is completed using a specialized headset that can measure sound
transmitted through bone. This equipment is not available for home computer systems.

Bone conduction testing is the only way to determine if the individual has a medically treatable hearing loss or one which would benefit from amplification.

A comprehensive, diagnostic hearing evaluation completed by an audiologist in a sound-treated environment that meets current testing standards is necessary to ensure hearing-test accuracy and assess appropriate treatment and management options.

If you believe you are in need of a hearing test, call your local audiologist and schedule an appointment today.

BVHS Adds Technology to Help Diagnose Parkinsonian Syndromes

Uses single-photon emission computed tomography (SPECT) camera.

BBlanchard Valley Health System (BVHS) has added advanced technology that will differentiate between essential tremor and parkinsonian syndromes (among other conditions). DaTscan is a radioactive injection into the patient’s bloodstream to help take pictures of areas of the brain with a special camera called a single-photon emission computed tomography (SPECT) camera.

This injection clarifies dopamine transporters (DaT) on an image, allowing providers to more accurately diagnose conditions such as Parkinson’s disease, drug-induced parkinsonism, vascular parkinsonism, psychogenic parkinsonism, corticobasal degeneration, essential tremor, Alzheimer’s disease, multiple system atrophy, progressive supranuclear palsy, dementia with Lewy bodies and dystonic tremor.

DaTscan is the first and only FDA-approved visual adjunct imaging agent used to aid in the diagnosis of the above conditions with DaT visualization and SPECT brain imaging. This service is only offered by physician referral and is conducted at BVH.

“Our dedication to remaining updated on the latest medical technologies and techniques is exemplified by the introduction of DaTscan to BVHS,” said Jill Jaynes, director of imaging services at BVHS. “With DaTscan, we will continue providing our patients with exceptional care and accurate diagnoses.”

For more information, speak with your physician about whether DaTscan is right for you.

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Blanchard Valley Health System provides a total continuum of care to more than 100,000 households in an eight-county area.

BVHS Weekend Column: Annual Pelvic Exams

There are many benefits to visiting your gynecologist’s office each year

by Jodi Bollenbacher, PA-C, Blanchard Valley Obstetrics & Gynecology


Jodi Bollenbacher, PA-C

Annual pelvic exams for females of all ages is vitally important. As Pap smear guidelines have changed, some women assume they do not need to see their local gynecologist every year. However, your preventive visit is about much more than periodically screening for cervical cancer with a Pap smear.

There are many benefits to visiting your gynecologist’s office each year such as:

  • Counseling about maintaining a healthy lifestyle and minimizing health risks. Experts agree there is substantial individual and system-wide cost-savings in prevention. Nutrition and fitness remain the foundation to weight management, prevention of cardiovascular disease and certain cancers.
  • Screening for sexually transmitted diseases (STD), which can lead to sterility or life-long pelvic pain if left untreated.
  • Evaluating your cardiovascular risk factors (hypertension, obesity, diabetes, elevated lipids) and encouraging tobacco cessation.
  • Discussing your bone health. Building and maintaining bone through life can substantially reduce risk. Osteoporosis remains a leading cause of disability in seniors.
  • Discussing sexual function/abuse/domestic violence.
  • Explaining your contraceptive options.
  • Reviewing your immunization status based on age and risk factors.
  • Screening for breast, ovarian, uterine, vaginal and vulvar cancer.

Along with these benefits, annual pelvic exams are conducted as a preventative measure. Remember:

  • Vaginal cancers will be missed without a speculum exam. Just like no one objects to your dentist screening you twice a year for oral cancer, pelvic exams are just as encouraged. More than 3,000 cases of vaginal cancer are diagnosed each year. Regular screening can help detect this type of cancer earlier. If cancer is detected early, five-year survival rates are 84 percent. With advanced stages, survival rates drop to about 50 percent.
  • Vulvar precancer and cancer often do not have symptoms and may only be detected as part of a thorough preventive exam. Unfortunately, vulvar cancer is more likely to be diagnosed at a later stage in older women.
  • An examination may reveal hidden problems that patients are too embarrassed to discuss, such as bladder prolapse, urinary incontinence or fecal incontinence.
  • Perimenopausal women may have dry vaginal tissue seen on exam. Therapy can be started before symptoms worsen.
  • Women with a history of precancerous changes of the cervix, vagina or vulva should also have a regular pelvic exam to ensure disease has not returned.

Please call to schedule your annual exam with your gynecologist today. Your health depends on it!